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J14

J14: Pneumonia due to Hemophilus influenzae

Billable / specific codeICD-10-CM

J14 is a billable, specific ICD-10-CM code for pneumonia due to hemophilus influenzae. It is valid for submission on a claim.

Check J14 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • congenital pneumonia due to H. influenzae (P23.6)

Code first

The underlying condition must be sequenced before this code.

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

  • , if applicable, any associated condition such as:
  • abscess (J85.1)
  • aspiration pneumonia (J69.-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Bronchopneumonia due to H. influenzae

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

J14 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A52466Nebulizers - Policy Article
  • A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
  • A56730Billing and Coding: Respiratory Therapy and Oximetry Services

Alphabetic index entries that lead here

  • Pneumonia›Hemophilus influenzae(broncho) (lobar)
  • Pneumonia›broncho-, bronchial›Hemophilus influenzae
  • Pneumonia›in›Hemophilus influenzae(H. influenzae)
  • Pneumonia›lobar›Hemophilus influenzae

Code history

Unchanged in every release from FY2024 to FY2027.

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.